<div class="am-u-sm-12 widget main-w" >
	<fieldset>
		<legend>事故基本信息</legend>
		<div class="am-u-sm-12 cl-p" style="font-size: 12px;">
			<div class="am-u-sm-12">
				<div class="detail-list">我方事故车:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">我方司机:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">所属单位:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">对方事故车:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">事故发生时间:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">事故发生地点:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">事故说明:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<img alt="事故现场图片"/>
			</div>
		</div>
	</fieldset>
	<fieldset>
		<legend>人员伤亡</legend>
		<div class="am-u-sm-12 cl-p"  style="font-size: 12px;">
			<div class="am-u-sm-12">
				<div class="detail-list">死亡人数:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">重伤人数:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">轻伤人数:</div><span class=""></span>
			</div>
		</div>
	</fieldset>
	<fieldset>
		<legend>事故结果</legend>
		<div class="am-u-sm-12 cl-p"  style="font-size: 12px;">
			<div class="am-u-sm-12">
				<div class="detail-list">损失:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<div class="detail-list">事故处理结果:</div><span class=""></span>
			</div>
			<div class="am-u-sm-12">
				<img alt="事故处理凭证图片"/>
			</div>
		</div>
	</fieldset>
</div>
